Provider Demographics
NPI:1679907653
Name:MCQUIGG, CYNTHIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MCQUIGG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 E US HIGHWAY 36
Mailing Address - Street 2:158
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7964
Mailing Address - Country:US
Mailing Address - Phone:317-653-4249
Mailing Address - Fax:
Practice Address - Street 1:8103 US HWY 36
Practice Address - Street 2:158
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7964
Practice Address - Country:US
Practice Address - Phone:317-653-4249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN64006693A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical